Incontinence Surgery

Incontinence can oftentimes be an embarrassing issue, but there is relief to be found with incontinence surgery in Thailand with pelvic floor reconstruction.

Women who leak urine typically do so because of one of two types of incontinence.

The first type of incontinence is described as urge incontinence, which is an involuntary contraction of the bladder during filling. This is generally manifested with leakage of large volumes of urine with associated urge or need to urinate. This type of leakage typically responds well to medical therapy.

The second type of leakage is termed stress incontinence, which is leakage of urine, usually small to moderate volumes, in association with some type of physical activity. Many women report leakage that occurs with cough, sneeze and exercise. This type of incontinence usually stems from an abnormality in the bladder’s support system which can occur with age or after pregnancies.

Female incontinence surgery is indicated for treatment of stress urinary incontinence. The surgeries listed above accomplish their goal by restoring the natural support system underneath the bladder. Typically, the surgery is performed through a vaginal approach which minimizes pain and discomfort for the patient following surgery. The surgery can be performed as an outpatient surgery with a brief anesthetic or may be combined with other gynecological surgeries if indicated based upon the patient’s condition.

What are the Post-Operative Guidelines following female incontinence surgery in Thaialnd?

Once you initially recuperate and leave our center, we generally require patients to reduce their activity level for several days. Prof. Kunachak will confirm how many days will be needed based upon the type of incontinence surgery you have. In this period of time, it is very common to have variable amounts of fatigue that generally improves over 2-3 weeks.

Pain is generally mild, but may be noted around the vaginal area or in the lower abdomen on either side of the pubic bone.

Typically, patients will have a vaginal discharge that resembles a menstrual flow for approximately one week which will then turn to either a clear or white vaginal discharge for 3-4 weeks as stitches heal and dissolve. A bloody discharge at 2 weeks post op should be reported to our center. Though some amount of bleeding may still be normal, the amount of bloody discharge should be noted.

It is very common to have changes in your bladder activity for the first 4-6 weeks after any of the 2 types of incontinence surgery in Thailand. These changes may include an increased sensation of urgency or a frequent need to urinate, as well as perhaps a small amount of leakage associated with urgency. Typically, these symptoms are caused by irritability of the bladder, which will resolve spontaneously over 6-8 weeks. It is also very common to have some slowing of the urinary stream.

This will more gradually change and improve over a period of 2-3 months. When should I seek advice from my physician? A patient should contact their physician if they run a temperature of 101 degrees or greater following the procedure.

Voiding problems that would require a visit to your doctor’s office would include the inability to urinate for greater than 6 hours despite feeling the urge or urinating very small amounts (1-2 tablespoons) every 15 minutes.

While some bleeding is common following the procedure, more significant bleeding is rarely encountered. This type of bleeding, however, would manifest itself with the soaking of multiple pads over an hour’s period of time. If this occurs, either contact your doctor or go to the emergency room for more evaluation.

Most women experience mild to moderate pain for the first several days following their procedure. Most women report that this pain is well controlled with either ibuprofen or Tylenol or in some instances, pain medication which will be given to you following the procedure. If these medicines are not sufficiently improving your discomfort, contact your physician for further evaluation